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0113 239 7288
Please complete all details below, and notify us immediately of any changes to this information.
PLEASE NOTE INCOMPLETE FORMS WILL NOT BE ACCEPTED; ALL QUESTIONS MUST THEREFORE BE ANSWERED!
Parents Details
In the case of divorced or separated parents, is the child's mother / father allowed access?
Additional contact details - incase parents can not be contacted.
Sessions required
Childs health details
Please give GP details
Childs religion and ethnicity
Ethnic origin questions are not about nationality, place of birth or citizenship. They are about colour and broad ethnic group. This information is used for monitoring purposes only.
To avoid any misunderstandings with regards to an unexplained injury, we would ask you to make sure nursery staff are aware of any accidents or injuries, which have taken place outside of the nursery setting.
If any of the information you have given changes please notify us straight away so that our records are up to date in case of an emergency.
I HAVE READ THE POLICIES AND PROCEDURES AND AGREE TO COMPLY WITH THEM. I UNDERSTAND THAT IF I NO LONGER NEED THE PLACE, I MUST GIVE ONE MONTHS NOTICE OR 1 MONTHS FEES IN LIEU OF NOTICE.
Childs Details
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